Healthcare Provider Details

I. General information

NPI: 1447155692
Provider Name (Legal Business Name): ECOMMERCE OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12853 SOVITE WAY
MORENO VALLEY CA
92555-4577
US

IV. Provider business mailing address

12853 SOVITE WAY
MORENO VALLEY CA
92555-4577
US

V. Phone/Fax

Practice location:
  • Phone: 562-732-3663
  • Fax:
Mailing address:
  • Phone: 562-732-3663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARILOU JOHAR
Title or Position: OWNER
Credential:
Phone: 562-732-3663